HomeMy WebLinkAboutF2022-0501 - Permit ApplicationPrint Form
Worksheet for Fire Permit Application
�i ( City ofCN..ewport Beach -Building Division
Please print 3 copies (AI
Associated Building Permit # XC2022-1865 and 1866 rX! Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) �stj
895 DOVE ST.
Tenant Name
2. Description of Work
(Fire Sprinkler T/I Relocate 20 and add 2 .
Extg Sq Ft New/Added Sq Ft Total Sq Ft
n New fX_ Add r-'i Alter r- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
450 475
# Units F
Use
Valuation $ $18,845
# Stories FI
F, 3. Owner's Name Last
First F_
Owner's Address
Owner's E-mail Address
City
State F_ Zip F—, Telephoned
r"; 4. Architect/Designer's Name
Last Arias First Bryant Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
210 W Baywood Ave.
City Orange
State CA Zip 92865 Telephone 675-566-3065
I
r-j 5. Engineer's Name Last
First Lic. No.i
Engineer's Address
Engineer's E-mail Address
City
' State F__. Zip F—I Telephoned
j-I6. Contractor's Name Last ADT Commercial First Lic. No. 106504 Class C10 C16
Contractor's Address
Contractor's E-mail Address
210 W. Baywood Ave.
Soroush.ahrar@redhawkus.com
City Orange
State CA Zip 92865 Telephone 714-685-8133
OFFICE USE ONLY
PERMIT NO. F_-0cS0
TYPE OF CONSTRUCTION
n
PLAN CHECK NO. \ 7,572 -
OCCUPANCY - GROUP
ny �2 �' ( LAN CHECK FEE $